Extraction form for project: IPMP (Integrated Pain Management Programs)

Design Details

1. What type of program does the study assess (IPMP or CPMP)?
Integrated Pain Management Program (IPMP): Based in, integrated with, coordinated by primary care. Comprehensive Pain Management Program (CPMP): Referral based and separate from primary care.
2. In what country was the study conducted?
List all applicable countries.
3. What study design was used?
Please select the appropriate study design for the study. If the study design is not listed, you may add the appropriate study design.
4. Mean age
Report across all patients included in relevant study arms. Round to whole number. Include the word "years" after reporting the mean age.
5. % male
Report across all patients included in relevant study arms. Round to whole number. Include "%" symbol.
6. % Non-white
Report across all patients included in relevant study arms. Round to whole number. Include "%" symbol. If not reported, put NR.
7. Mean duration of pain or symptoms
Report across all patients included in relevant study arms. Round to whole number. Report duration in terms of months. If not reported, put NR.
8. Pain etiology/type
9. Disability
Disability can be measured in several ways. For example, authors may report the percent of patients receiving disability payments or they may report the mean score of a continuous disability scale such as the Pain Disability Index. Either are appropriate here, just be explicit about what is being reported.
10. Comorbidities
Extract the percent of patients with relevant comorbidities. Round percentages to whole numbers. If not reported, put NR.
% Depression diagnosis
% Anxiety diagnosis
% PTSD disagnosis
% Overweight or obese
% w/ Substance Use Disorder
% Smokers
% Suicidal
11. Randomized, Analyzed, and Attrition (at longest followup point)
For attrition report as: % (n/N)
Randomized
Analyzed
Attrition
12. How was the study funded?
13. Notes and comments

Arms

Arm NameArm Description
CPMP - InpatientComprehensive pain management program
CPMP - OutpatientComprehensive pain management program
Usual CareNo treatment

Arm Details

1. Is the program practice-based or system-based?
CPMP - Inpatient
CPMP - Outpatient
Usual Care
2. How many patients were randomized to this treatment arm?
CPMP - Inpatient
CPMP - Outpatient
Usual Care
3. Program duration (weeks)
Please report the duration of the program in weeks and include "weeks" in the text box.
CPMP - Inpatient
CPMP - Outpatient
Usual Care
4. Number of sessions per week
Report as X sessions/week
CPMP - Inpatient
CPMP - Outpatient
Usual Care
5. Was the program conducted in the inpatient or outpatient setting?
Select one.
CPMP - Inpatient
CPMP - Outpatient
Usual Care
6. Physical Functioning/Reconditioning & Psychological and Mental Health Components of Intervention
For treatment providers, you may write-in any options that are needed that are not already presented. For duration of treatment report as "X sessions per week over X weeks", when possible. For anything not reported, put NR.
CPMP - Inpatient
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
CPMP - Outpatient
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
Usual Care
Physical Functioning/Reconditioning Components of InterventionPsychological and Mental Health Components of Intervention
Treatment types
Treatment providers
Mode of delivery
Duration of treatment
Tailoring
Adherence
7. Medication Review and/or Management Components of Intervention
CPMP - Inpatient
CPMP - Outpatient
Usual Care
8. Additional components of the intervention
CPMP - Inpatient
CPMP - Outpatient
Usual Care
9. Description of care coordination/collaboration
CPMP - Inpatient
CPMP - Outpatient
Usual Care

Sample Characteristics

N/A

Outcomes

TypeDomainSpecific measurement (i.e., tool/definition/specific outcome)PopulationsTimepoints
ContinuousPainPain Index
  • All Participants
  • Baseline
  • Postintervention
  • 8 months
  • 18 months
  • 22 months
  • 30 months
ContinuousFunctionLBP Disability Index
  • All Participants
  • Baseline
  • Post-intervention (3 months)
  • 8 months
  • 18 months
  • 22 months
  • 30 months
CategoricalHarmsAdverse Events
  • All Participants
  • 30 months
CategoricalGlobal ImprovementBenefits of treatment at 3-month followup
  • All Participants
  • Increased knowledge concerning low back pain
  • Increased knowledge of factors affecting low back pain
  • Increased motivation for self-care:
  • Decrease in low back pain
  • Mental recreation
  • Improved physical condition
  • Improved working capacity
  • Decrease in illness fears
  • Decrease in other illness symptoms

Outcome Details

N/A

Risk of Bias Assessment

1. Randomization adequate?
Rating
2. Allocation concealment adequate?
Rating
3. Groups similar at baseline?
Rating
4. Outcome assessors masked?
Rating
5. Care providers masked?
Rating
6. Patient masked?
Rating
7. Reporting of attrition, crossovers, adherence, and contamination?
Rating
8. Loss to followup acceptable?
Overall ≤20%?
Difference between groups <10%?
9. Intention-to-treat (ITT) analysis?
Overall ≤20%?
10. Outcomes prespecified?
Overall ≤20%?
11. Quality determination
Overall ≤20%?

Results

Categorical


Harms (Adverse Events)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care
30 months
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care

Global Improvement (Benefits of treatment at 3-month followup)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care
Increased knowledge concerning low back pain
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Increased knowledge of factors affecting low back pain
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Increased motivation for self-care:
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Decrease in low back pain
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Mental recreation
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Improved physical condition
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Improved working capacity
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Decrease in illness fears
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Decrease in other illness symptoms
Total (N analyzed)
Odds Ratio (OR)
Events
95% CI low (OR)
Percentage
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care

Continuous


Pain (Pain Index)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care
Baseline
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
Postintervention
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
8 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
18 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
22 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
30 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care

Function (LBP Disability Index)

All Participants
Descriptive StatisticsBetween Arm Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care
Baseline
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
Post-intervention (3 months)
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
8 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
18 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
22 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
30 months
Total (N analyzed)
Odds Ratio (OR)
Mean
95% CI low (OR)
SD
95% CI high (OR)
p value
Within Arm ComparisonsNet Comparisons
CPMP - InpatientCPMP - OutpatientUsual Care